Division of Electrophysiology, Department of Cardiology, Tufts Medical Center, Boston, MA 02111, USA.
Curr Cardiol Rep. 2011 Oct;13(5):377-86. doi: 10.1007/s11886-011-0204-3.
Congestive heart failure is a very real public health issue not only in the United States, but worldwide. Mortality in patients with congestive heart failure is typically either sudden cardiac death or pump failure. Paradoxically, patients with less severe heart failure are at higher relative risk of sudden cardiac death. Defining which patients are best treated with implantable defibrillators and resynchronization is the purpose of this review.
充血性心力衰竭不仅是美国,也是全世界一个非常现实的公共卫生问题。充血性心力衰竭患者的死亡率通常是心源性猝死或泵衰竭。矛盾的是,心力衰竭程度较轻的患者发生心源性猝死的相对风险更高。本综述旨在确定哪些患者最适合使用植入式除颤器和再同步治疗。